| NPI | 1437228475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701001624) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0717000237) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2023-01-11 |